Perioperative estimation of the intracranial pressure using the optic nerve sheath diameter during liver transplantation.

Journal Article (Journal Article)

An elevation of the intracranial pressure (ICP) secondary to cerebral edema is a major contributor to morbidity and mortality in acute liver failure. In addition, invasive ICP monitoring in this setting is controversial because coagulopathy predisposes patients to hemorrhagic complications. In this case report, we describe the novel use of optic nerve sheath diameter monitoring as a noninvasive modality for checking for acute elevations in ICP in this setting. Because of the merits of rapidly evolving ultrasound technologies, this may serve as a safe method for improving patient care in this setting.

Full Text

Duke Authors

Cited Authors

  • Krishnamoorthy, V; Beckmann, K; Mueller, M; Sharma, D; Vavilala, MS

Published Date

  • March 2013

Published In

Volume / Issue

  • 19 / 3

Start / End Page

  • 246 - 249

PubMed ID

  • 23225529

Electronic International Standard Serial Number (EISSN)

  • 1527-6473

Digital Object Identifier (DOI)

  • 10.1002/lt.23591


  • eng

Conference Location

  • United States